I've been in training full time for the past 12 years.
I need one of these grants to start my academic career.
The current administration could support my research for the next millennium with a small fraction of what they have stolen from the American people.

‼️‼️‼️‼️🔥🔥🔥🔥🔥

As an asst prof who needs an R01 to move to Assoc, this feels like an insurmountable challenge. Schools of Medicine need to recalibrate or we’ll lose a generation of researchers (if not already). & ultimately as a clinician I have options, but PhDs doing great work - they will just leave academia.

I generally agree w the tenor of this though as a relatively junior Assoc Ed at a non-top tier medical journal, I can appreciate the challenge editors have. They have pressure from publishers to generate content & likely feel they can’t gate keep too stringently.

Unfortunate & predictable given actions of GOP & HR1 coming down the pike. Who does this benefit?

This is a stunning new statistic from IQVIA: 70% of new prescriptions are initially rejected by private insurers. Many of those prescriptions are eventually approved, but it can take up to a year, and about one-quarter are still ultimately denied.

www.iqvia.com/locations/un...

Great minds, posted almost simultaneously bsky.app/profile/howe...

🚨NEW: The cost of living is constantly on the rise. For people leaving jail or prison, who face mounting barriers to employment, it can be almost impossible to keep up.

The solution? Guaranteed income.

Data shows it keeps people out of prison — and saves taxpayers thousands 🧵

Criticizing the pope for being "weak on crime" feels so inherently silly and dumb to me.

The Agency for Healthcare Research and Quality (AHRQ) is Federal body that “examines healthcare as it is delivered to patients, examining the quality, safety, and affordability of healthcare delivery”.

Under RFK Jr., AHRQ has funded ZERO new studies for a year and has lost ~70% of its employees.

I want to give the petitioners here some benefit that they in, good faith, believe in the value of historic buildings in New Haven (some of these folks have been active on this issue for over 10 yrs), but I would ask them, if I could, why they'd prioritize buildings over people?

How the insurance system quietly undoes recovery from addiction People who have been stable for years are suddenly re-exposed to risk — not because their disease worsened, but because their coverage did.

"In addiction care, stability is fragile because the systems supporting patients are weak." In a new piece for @statnews.com, Yale Addiction Medicine Fellow, John Fomeche, MD, discusses how health insurance systems threaten recovery. www.statnews.com/2026/04/07/a...

Graph showing the growth of mass incarceration and mass supervision in the U.S.

🚨NEW REPORT: Most people think of probation and parole as pathways away from the carceral system — but that couldn't be further from the truth.

New data reveal how community supervision has grown in parallel with mass incarceration and widened the net of social control 🧵

Literally CT's transit system. Rich people ride trains to NYC sometimes but have never stepped foot on a bus

Why we see SLE getting its funding increased each year while the bus system flatlined (thankfully the state Gov does fight to maintain the much reduced status quo)

Hard agree w Dr Borelli. Connecticut EDs need to step up to the plate in treating people w OUD.

SB 365: Put Buprenorphine in emergency departments I wish we didn't need a law to get doctors to treat opioid use disorder like any other emergency, But this bill is a step in the right direction.

In a newly published op-ed for @ctmirror.org, Dr. Cara Borelli discusses SB365, which would require Connecticut emergency departments to offer buprenorphine to patients with opioid use disorder. ctmirror.org/2026/03/31/s...

This! With the New Haven Register as well. Hard to trust the corporate overlords at Hearst...

Hearst (not Hearts obvy)

Sounds like a win for us here in CT & hopefully a harbinger of Hearts putting *more* resources to local reporting & not less as has been the trend. Hearst laid off one of the best local news columnists in CT a couple of years ago ending my sub to NH Register (@hughsbailey.bsky.social)

An underappreciated byproduct of new work requirements for Medicaid enrollees is how much money it'll take to verify work status, even though the vast majority of enrollees are already working or qualify for an exemption.

As Medicaid cuts shutter hospitals, vulnerable communities—particularly rural ones—are going to suffer.

And for almost half of all incarcerated people, this means critical, lifesaving care will be even further out of reach 🧵

Behind Bars Data Project compiles first full dataset on deaths in ICE custody The Behind Bars Data Project at UCLA School of Law has published the first comprehensive dataset of deaths in Immigration and Customs Enforcement (ICE) custody.

The Behind Bars Data Project at UCLA Law has released the first full dataset on deaths in ICE custody, offering a searchable record spanning more than two decades. Learn more: law.ucla.edu/news/behind-...

Graph showing that in jails, the most effective treatment options are the least accessible for people with opioid use disorder

MYTH: Some people need to go to jail to get treatment

REALITY: Most people in local jails have substance use disorders, yet only a tiny fraction of jails provide medication-assisted treatment (MAT) for opioid use disorder.

Jails are designed for punishment, not care.

Who needs professional sports team? We can add the Sun to the legacy Whalers fandom… :(

Treating Chronic HCV Infections in Jail Is Feasible and Cost-Effective With the advent of the direct-acting antivirals to treat hepatitis C virus (HCV), there has been hope of eliminating chronic HCV infections. The World Health Organization has targeted global eliminati...

New in @jamainternalmed.com - Treating HCV in jails & prisons is feasible (though not w/o challenges) and a cost-effective to reduce morbidity/mortality and subsequent healthcare costs; yet ?'s remain on how we fund these programs. @seicheyale.bsky.social
jamanetwork.com/journals/jam...

The perfect encapsulation of our transportation dynamic:

Greater Bridgeport Transit is desperately seeking $7.5 million to maintain its (inadequate) service

But for highway projects? Billions upon billions, no matter the fiscal climate

Community Health Worker Helps Women Rebuild Lives - New Haven Independent As lead community health worker and critical case manager with Yale's Transitions Clinic, Monya Saunders connects people recently released from prison with healthcare and social services. She also acc...

Great piece in the @nhindependent of my @seicheyale.bsky.social colleague & friend Monya Saunders. Always out there putting in the work to help people. www.newhavenindependent.org/2026/03/25/c...

In federal prisons, the grievance system is designed to reject nearly all complaints about medical care We analyzed data about formal complaints made by incarcerated people regarding medical care in federal prisons and can only conclude that grievance systems are designed ...

🚨 Prison healthcare systems are notoriously bad. And when incarcerated folks experience medical abuse or mistreatment, the only place to turn is the grievance system.

But this system is designed to shut down complaints — not resolve them 🧵

i went into this expecting the medical grievance denial rate in federal prisons to be in like the 70–80% range

after crunching the numbers, i found that 98% of the 66,000 medical grievances lodged between 2014–2024 were rejected by BOP; less than 1,000 cases were granted relief in 10 years

Greater Bridgeport Transit warns of 30% service cuts to bus service due to $7.5M budget shortfall “A lot of people need it. A lot of people don’t have cars,” said one woman who has ridden the bus for about a decade to get to and from work.

Absolutely wild story that isn’t getting much attention (as far as I can tell) around the state: the largest city in the state is about to cut 30% of its service over only a $7.5 million shortfall

It would be madness to let this go over such a small number
www.ctinsider.com/news/article...